The Orthodontic CYBERjournal
Counterpoint Software
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COUNTERPOINT SOFTWARE, INC.
800 E. Dimond Blvd., Suite 3-415 Anchorage, Alaska 99515 Phone: 1-800-525-8783
ABOUT THE COMPANY:
CounterPoint Software, Inc. was formed by a senior information technology professional and a healthcare professional for the specific purpose of developing new computer software for the self-administration and third party administration of self-insurance and direct reimbursement employee benefit plans. Our objective is to give companies throughout the U.S. a cost effective alternative to other types of healthcare benefit plans by providing them with state-of-the-art administrative software to manage their in-house benefit plans.
CounterPoint Software specializes in providing software for any company's self-insurance health benefit needs, regardless of the company size or benefits being offered. Whether the company utilizes a modern stand-alone single user computer system or a client/server application and database, we have the technological expertise to provide solutions to the problems in healthcare benefits management. As software consultants, we are required to be knowledgeable in many aspects of a complex, interwoven web of computer technologies, especially since the recent migration to distributed computing has made computer application development more powerful and more complex than ever before.
In the future, managing healthcare benefits may become a matter of utilizing distributed computing technology via local and area wide networks like the InterNet. CounterPoint Software, in looking to the future, has the expertise to meet the upcoming challenges associated with such advancements in technology.
In the business of healthcare benefits, what sets us apart from others is the background and caliber of each member of our development team. Each has had a long and distinguished career before starting CounterPoint Software. With diverse experience in engineering, medicine, business and data processing, we are knowledgeable in the latest techniques and technologies as well as being seasoned in the proven, traditional fundamentals and methodologies. In a project such as this, our considerable experience allows us to side step many of the pitfalls that can engulf the less experienced.
Our philosophy is to provide our clients with the highest quality software for the management of their employee benefit plans. We will listen carefully to their concerns and consider all of the factors that influence their benefit plans. Further, we will take that information and use it as a guideline for future enhancements of the software.
CounterPoint Software is a team of individuals who take pride in their work and find satisfaction in creating the best possible products for their clients.
BACKGROUND
Since the advent of third party payer systems, more Americans than ever
before have received medical and dental care as a benefit provided by their
employers. The need for expanded numbers of medical providers became apparent
and the growth of the healthcare field mushroomed. With prosperity came
inflation and the threat of frivolous lawsuits by patients. The result
has been a medical community that has been forced to provide higher levels
of liability insurance coverage and treatment that has been considered
by some to be unnecessary due to the need to protect itself against the
threat of litigation. Over the years, the cost of healthcare and insurance
premiums for employee healthcare benefits have continued to rise at an
alarming rate. The insurance company's' answer has been to reduce costs
to the employer by controlling the treatment that can be rendered to patients
by the providers and control the fees that providers can charge. The answer
proposed by the American Association of Orthodontists (AAO), the American
Dental Association (ADA) and the Alliance for Dental Reimbursement Plans
(ADRP) has been the implementation of Direct Reimbursement plans, the simplest
form of self-insurance that provides freedom of choice for patients, eliminates
costly administration by the insurance companies and directs those dollars
to patient care.
TARGET GROUPS
The concept of Direct Reimbursement is being promoted most heavily in the area of dental benefits, and to a lessor extent in vision and medicine. With the onslaught of managed care programs in the U.S., it seems that the time is right for Direct Reimbursement to move forward. Since dentistry's primary attribute is the fact that its costs are non-catastrophic in nature and very predictable year after year, the promotion of Direct Reimbursement for dental benefits makes the most sense as a starting point for many companies. Having dentistry as the target group for the promotion of Direct Reimbursement, CounterPoint Software's goal is to become a primary software consultant to the AAO, ADA, ADRP and each of the fifty state dental societies for the purpose of providing state-of-the-art computer software for the promotion and implementation of Direct Reimbursement plans.
PRODUCTS
Our family of products, called Self-Insurance ManagerTM,
have been designed for those companies that wish to self-administer their
own in-office benefit plans. The new software is geared for companies that
range in size from two employees to several thousand. While it is likely
that most companies will begin with a Direct Reimbursement plan directed
toward dental benefits, Self-Insurance ManagerTM provides each
company with the ability to ultimately expand their benefit programs to
include medical, vision and chiropractic coverage. When a company decides
to add one or more of the other plans, all that is required of the plan
administrator is to determine the annual maximum benefit, how the benefits
are to be paid out (i.e. the design of the payment tiers) and then assign
an employee group to the new plan. Employees can then begin to utilize
the expanded benefits plan. Self-Insurance ManagerTM tracks
each plan independently and provides the plan administrator with detailed
reports to easily monitor its progress through the year.
CounterPoint Software, Inc. currently markets two products for the
self-administration and third party administration of self insurance and
direct reimbursement benefit plans.
The two products are:
Self-Insurance ManagerTM-Direct Reimbursement Edition (SIM DRTM)
Self-Insurance ManagerTM-Self Administration Edition (SIM SATM).
SIM DRTM is a version of the software that is specifically designed for a single company that wishes to self-administer their own direct reimbursement dental benefit plan. SIM DRTM is fully upgradeable to SIM SATM, the version of the software can be used for both the self-administration and third party administration of all types of health benefit plans including dental, medical, vision, chiropractic and any type of custom health or safety plan. SIM SATM has the capability of combining simple benefit plans for one type of medical category with more complex plans for another type of medical category. SIM SATM provides many expanded functions not found in the simpler direct reimbursement version.
In the future, CounterPoint Software, Inc. plans to release a third product.
Self-Insurance-ManagerTM-Third Party Administration Edition (SIM TPATM)
SIM TPATM will be a version of the software specifically
tailored to the needs of third party administrators. Special client billing
features and cost projection utilities will be incorporated in SIM TPATM.
The future release of SIM TPATM will be an important step in
the promotion of Direct Reimbursement. The software will give TPA's the
ability to manage dozens of companies and thousands of employees will relative
ease. Additional features specific to the needs of third party administrators
will eliminate the need for importing and exporting information from databases
to spreadsheets to word processing systems and back again, thereby making
their jobs easier and less prone to errors. In the meantime, SIM SATM
will serve the needs of third party administrators quite nicely and will
be fully upgradeable to SIM TPATM.
The marketing of these products will help give companies throughout
the U.S. a cost-effective alternative to the restrictive managed care plans
that are now being offered by the insurance companies. The need for cost
containment by these companies has been apparent, but the idea of forcing
doctors to absorb all of the cost reductions is not the answer. The answer
lies within the free market economy that has worked so well within the
U.S. for some 200 years. Empowering the people to make their own decisions
about how their money is spent on healthcare is the key to the solution,
an important ingredient of America's free market system that helps keep
high priced goods and services in check.
It is CounterPoint Software's goal to provide the highest quality software for benefit plan management to minimize client questions so that they can administer their plans as effortlessly as possible. By listening intently to suggestions from our clients and software resellers, we will identify additional features that will help expand the functionality of the software and simplify the task of managing benefit plans.
For those clients that need technical assistance once the new software is installed, CounterPoint Software has an 800 number technical support line. Technical support services can be purchased and upgrades will be issued on an annual basis for a nominal fee.
CounterPoint Software will continue to support this very important project
that is aimed at saving companies money on their health care programs,
preserving freedom of choice for patients, retaining fee-for-service dentistry,
and allowing providers to compete for any willing patients in a free market
system. This is a project to help preserve the American way!

Self-Insurance ManagerTM
Comparison Matrix
| SOFTWARE EDITION |
Direct Reimbursement |
Self-Administration |
|---|---|---|
|
SIM DR |
SIM SA |
|
| COVERAGE FEATURES |
|
|
| Pure Direct Reimbursement |
YES |
YES |
| Modified Direct Reimbursement |
NO |
YES |
| Ability to Mimic Indemnity Plans |
NO |
YES |
| Dental Category Coverage |
YES |
YES |
| Medical Category Coverage |
NO |
YES |
| Vision Category Coverage |
NO |
YES |
| Chiropractic Category Coverage |
NO |
YES |
| Custom Category Coverage |
NO |
YES |
| Individual or Family Coverage |
YES |
YES |
| Individualized Plan Selection |
YES |
YES |
|
|
|
|
| DESIGN FEATURES |
|
|
| Automated COBRA period |
NO |
YES |
| Automated Eligibility Period |
NO |
YES |
| Checking for Eligibility |
YES |
YES |
| Checks Compatibility |
DELUXE bus. forms |
DELUXE Bus. Forms |
| Checks to Emplyees |
YES |
YES |
| Checks to Providers |
YES |
YES |
| Claim Editing |
YES |
YES |
| Client Billing Alternative |
NO |
NO |
| Custom Dependent Types |
YES |
YES |
| Deductibles in Payment Tiers |
YES |
YES |
| Duplicate Claims Checking |
YES |
YES |
| Employee Account |
NO |
YES |
| Employee Groups |
NO |
Multiple |
| Medical & Dental Subcategory Limitations |
NO |
YES |
| Multiple Open Accounting Periods |
YES |
YES |
| Number of Companies |
One |
Unlimited |
| Number of Employees |
Unlimited |
Unlimited |
| Payroll Deduction Tracking Req'd and Elective |
NO |
YES |
| Pre-Tax and After Tax Tracking |
YES |
YES |
| Procedure Code Limitations |
NO |
YES |
| Restrict Editing to Open |
YES |
YES |
| Sample Company |
On Demo Only |
YES |
| Single or Multiple Payment Tiers |
YES |
YES |
| Single or Multiple Plans |
YES |
YES |
| Standard Accounting Formal |
YES |
YES |
|
|
|
|
| REPORTING FEATURES |
|
|
| Built-in Reports |
20 |
26 |
| Custom Reports w/ Custom Report Writer |
Available |
Available |
| Electronic Stickie Notes and Annotations |
YES |
YES |
| Fee Data Compiled Based on Submitted Claims |
YES |
YES |
| Graphical Management Reports |
NO |
FUTURE |
| Printing EOB's w/Print Preview |
YES |
YES |
| Provider Tracking |
YES |
YES |
| Retired Employee Tracking |
NO |
YES |
|
|
|
|
| SYSTEM FEATURES |
|
|
| 3-D Graphical User Interface |
YES |
YES |
| Automated Installation |
YES |
YES |
| Drag and Drop Features |
YES |
YES |
| Export Function |
Future |
Future |
| Import Function |
Future |
Future |
| ODBC Compatible Relational Database |
YES |
YES |
| Open Multiple Windows |
YES |
YES |
| Password Protection |
NO |
Future |
| Support Multi-User Environment |
NO |
Future |
| Type-ahead Fields |
YES |
YES |
| Windows Operating Systems Supported |
3.1--NT--95 |
3.1--NT--95 |
|
|
|
|
| ADD-ON FEATURES |
|
|
| ADA Codes |
Built-in |
Built-in |
| AMA CPT Codes |
NO |
Available |
| HCPCS Codes |
NO |
Available |
|
|
|
|
| SUPPORT FEATURES |
|
|
| 800# Technical Support |
YES |
YES |
| On-Line Automatic Field Description |
YES |
YES |
| On-Line Help Files |
Future |
Future |
| Release Date |
Released |
Released |
| Technical Support and Upgrades |
YES-Purchase Option |
YES-Purchase Option |
| Upgradeable to Next Version |
YES |
YES |
| Price of Software (excluding support and Updates) |
$675.00 |
$995.00 |
THREE EASY WAYS TO ORDER:
| Self-Insurance Manager - Self Administration |
$995.00 |
Next Version Upgrade Subscription, Pre-Release Price @ $299.00 |
|---|---|---|
| Self-Insurance Manage Direct Reimbursement |
$675.00 |
Next Version Upgrade Subscription, pre-release price @ $199.00 |
| One Year Technical Support Agreement |
$149.00 |
|
|
|
|
|
| Shipping and Handling |
$10.00 |
|
If ordering by mail or FAX be sure to include:
CounterPoint's Web Site with detailed information about Direct Reimbursement and their software products.
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